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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...to contact us to ask for a coverage decision. Here are examples of coverage decisions you may ask us to make: Asking us to cover a Part D drug that...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...For certain drugs, your doctor will need to contact us before you can fill your prescription. Prior Authorization Criteria – For certain drugs, your doctor will need to contact us...
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Navigator Overview
https://www.caresource.com/navigator-overview/...your Navigator name, Application Organization, Business Address CAC# or CDO# and contact information (email/phone). *Kynectors, please provide name, contact information (email/phone) and organization. HAP CareSource is here to assist with...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...important phone numbers including our dental and vision benefit partners. Use Your Benefits Find and use an in-network Primary Care Provider (PCP) Use our Find A Doctor tool. You can...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...the allowed reasons listed above, Humana – CareSource will not use or disclose your data without written permission (authorization) from you. If you do authorize us to use or disclose...
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Care & Disease Management
https://www.caresource.com/benefits-services__trashed/care-disease-management/...contact a Care Manager by completing the Care Management Contact Form or call 1-844-679-7867 (TTY: 711). Care Management is open 8 a.m. to 5 p.m., Monday through Friday Eastern Standard...
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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...Attn: Provider Appeals PO Box 1947 Dayton, OH, 45401-1947 CareSource will review the evidence and respond to the dispute within 60 calendar days. For more information, contact Provider Services at...
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Form 1099-MISC
https://www.caresource.com/1099-info/...I correct it? Providers with incorrect contact information or TIN should submit the Health Partner Change Request Form. Vendors and contractors with incorrect contact information or TIN should submit an...
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Planning Ahead
https://www.caresource.com/members/education/planning-ahead/...needs, too. Click the links below to learn more about these health plan topics: Advance Directive Learn how you can use an Advance Directive to make your health care wishes...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...fact, or makes any false, fictitious, or fraudulent statement or representation, or makes or uses any false writing or document knowing the same to contain any false, fictitious, or fraudulent...
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